Provider Demographics
NPI:1881014140
Name:DEDICATED HOME CARE,LLC
Entity Type:Organization
Organization Name:DEDICATED HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-681-2371
Mailing Address - Street 1:614 S BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2810
Mailing Address - Country:US
Mailing Address - Phone:856-681-2371
Mailing Address - Fax:856-681-2373
Practice Address - Street 1:614 S BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-2810
Practice Address - Country:US
Practice Address - Phone:856-681-2371
Practice Address - Fax:856-681-2373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0188300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health